Table 21-6.

Additional ACTION-GWTG Quality-of-Care Metrics for ACS Care (2010)

Quality Metrics	Overall	STEMI	NSTEMI
ECG within 10 min of arrival	61	73	55
Aspirin within 24 h of arrival	97	98	96
Any anticoagulant use*	93	95	91
Dosing error
UFH dose	54	55	54
Enoxaparin dose	12	12	12
GP IIb/IIIa inhibitor dose	8	8	8
ADP receptor inhibitor† on discharge	82	93	74
Prescribed statins on discharge	92	95	90
Adult smoking cessation advice/counseling	98	99	98
Cardiac rehabilitation referral	75	82	70
In-hospital mortality‡ (95% CI)	4.8 (4.6–4.9)	5.9 (5.7–6.2)	4 (3.8–4.1)

ACTION-GWTG indicates Acute Coronary Treatment and Intervention Outcomes Registry–Get With The Guidelines; ACS, acute coronary syndrome; STEMI, ST-segment elevation myocardial infarction; NSTEMI, non–ST-segment elevation myocardial infarction; UFH, unfractionated heparin; GP, glycoprotein; ADP, adenosine diphosphate; and CI, confidence interval.

Values are percentages.

^*Includes UFH, low-molecular-weight heparin, bivalirudin, or fondaparinux use.

^†Includes clopidogrel or prasugrel.

^‡Excludes transfer-out patients.